Burak IŞIK, Gökhan SÖĞÜTLÜ, Mehmet YILMAZ, Vedat NİSANOĞLU

Koroner arter bypass greftleme sonrası kolon perforasyonu

Kalp cerrahisi sonrası gastrointestinal komplikasyon gelişme olasılığı düşük olmakla birlikte eşlik eden mortalite oldukça yüksektir. Bu komplikasyonlar içinde en mortal seyredeni ise intestinal iskemidir. Bu yazıda, koroner arter bypass greftleme sonrası kolon perforasyonu gelişen; biri mortal seyreden iki olgu sunulmaktadır. Yakın zamanda kalp cerrahisi geçirmiş bir hastada, negatif laparotomi çekincesiyle gecikmek, erken ve tedavi edici bir girişimden çok iskemik intestinal komplikasyonların yaratacağı yüksek mortaliteyi daha da arttıracaktır

Colon perforation following coronary artery bypass grafting

Although incidence of gastrointestinal complications following cardiac surgery is low, concomitant mortality is high. Intestinal ischemia is the most life-threatining one among these complications. In this paper, two cases of colon perforation, one of which with a mortal course, following coronary artery bypass grafting are presented. Delay with a concern of a negative laparotomy increases high mortality rate of ischemic intestinal complications rather than an early and curative procedure in a patient with a recent cardiac surgical procedure.

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